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FoodShare Forms

Below is a list of all FoodShare forms. 

When you are searching for a document, enter the number or a portion of the title in the search box below.

Assigned number Title Division Language Release date File type Available to order
F-16004 Add or Remove an Authorized Buyer or Alternate Payee for FoodShare Benefits DMS English 04/2024 PDF No
F-16004H Add or Remove an Authorized Buyer or Alternate Payee for FoodShare Benefits, Hmong DMS Hmong 04/2024 PDF No
F-16004R Add or Remove an Authorized Buyer or Alternate Payee for FoodShare Benefits, Russian DMS Russian 04/2024 PDF No
F-16004S Add or Remove an Authorized Buyer or Alternate Payee for FoodShare Benefits, Spanish DMS Spanish 04/2024 PDF No
F-16038 Administrative Disqualification Hearing Notice DMS English 08/2023 PDF No
F-16038AR Administrative Disqualification Hearing Notice, Arabic DMS Arabic 08/2023 PDF No
F-16038CM Administrative Disqualification Hearing Notice, Chinese (Simplified) DMS Chinese (Simplified) 08/2023 PDF No
F-16038G Administrative Disqualification Hearing Notice, German DMS German 08/2023 PDF No
F-16038H Administrative Disqualification Hearing Notice, Hmong DMS Hmong 08/2023 PDF No
F-16038L Administrative Disqualification Hearing Notice, Laotian DMS Laotian 08/2023 PDF No
F-16038R Administrative Disqualification Hearing Notice, Russian DMS Russian 08/2023 PDF No
F-16038SO Administrative Disqualification Hearing Notice, Somali DMS Somali 08/2023 PDF No
F-16038S Administrative Disqualification Hearing Notice, Spanish DMS Spanish 08/2023 PDF No
F-10126B Appoint, Change, or Remove an Authorized Representative: Organization DMS English 03/2024 PDF No
F-10126BAR Appoint, Change, or Remove an Authorized Representative: Organization, Arabic DMS Arabic 03/2024 PDF No
F-10126BCM Appoint, Change, or Remove an Authorized Representative: Organization, Chinese (Simplified) DMS Chinese (Simplified) 03/2024 PDF No
F-10126BDA Appoint, Change, or Remove an Authorized Representative: Organization, Dari DMS Dari (Afghan Persian) 03/2024 PDF No
F-10126BG Appoint, Change, or Remove an Authorized Representative: Organization, German DMS German 03/2024 PDF No
F-10126BH Appoint, Change, or Remove an Authorized Representative: Organization, Hmong DMS Hmong 03/2024 PDF No
F-10126BL Appoint, Change, or Remove an Authorized Representative: Organization, Laotian DMS Laotian 03/2024 PDF No
F-10126BPA Appoint, Change, or Remove an Authorized Representative: Organization, Pashto DMS Pashto 03/2024 PDF No
F-10126BR Appoint, Change, or Remove an Authorized Representative: Organization, Russian DMS Russian 03/2024 PDF No
F-10126BSO Appoint, Change, or Remove an Authorized Representative: Organization, Somali DMS Somali 03/2024 PDF No
F-10126BS Appoint, Change, or Remove an Authorized Representative: Organization, Spanish DMS Spanish 03/2024 PDF No
F-10126A Appoint, Change, or Remove an Authorized Representative: Person DMS English 03/2024 PDF No
F-10126AAR Appoint, Change, or Remove an Authorized Representative: Person, Arabic DMS Arabic 03/2024 PDF No
F-10126ACM Appoint, Change, or Remove an Authorized Representative: Person, Chinese (Simplified) DMS Chinese (Simplified) 03/2024 PDF No
F-10126ADA Appoint, Change, or Remove an Authorized Representative: Person, Dari DMS Dari (Afghan Persian) 03/2024 PDF No
F-10126AG Appoint, Change, or Remove an Authorized Representative: Person, German DMS German 03/2024 PDF No
F-10126AH Appoint, Change, or Remove an Authorized Representative: Person, Hmong DMS Hmong 03/2024 PDF No
F-10126AL Appoint, Change, or Remove an Authorized Representative: Person, Laotian DMS Laotian 03/2024 PDF No
F-10126APA Appoint, Change, or Remove an Authorized Representative: Person, Pashto DMS Pashto 03/2024 PDF No
F-10126AR Appoint, Change, or Remove an Authorized Representative: Person, Russian DMS Russian 03/2024 PDF No
F-10126ASO Appoint, Change, or Remove an Authorized Representative: Person, Somali DMS Somali 03/2024 PDF No
F-10126AS Appoint, Change, or Remove an Authorized Representative: Person, Spanish DMS Spanish 03/2024 PDF No
F-10138 BadgerCare Plus Supplement to FoodShare Wisconsin Application DMS English 07/2008 PDF No
F-81020E Confidentiality and Non-Disclosure Acknowledgement: Volunteer (Food Pantry) DMS English 12/2018 Word No
F-16025 Disqualification Consent Agreement DMS English 07/2023 PDF No
F-16025AR Disqualification Consent Agreement, Arabic DMS Arabic 07/2023 PDF No
F-16025CM Disqualification Consent Agreement, Chinese (Simplified) DMS Chinese (Simplified) 07/2023 PDF No
F-16025G Disqualification Consent Agreement, German DMS German 05/2018 PDF No
F-16025H Disqualification Consent Agreement, Hmong DMS Hmong 07/2023 PDF No
F-16025L Disqualification Consent Agreement, Laotian DMS Laotian 05/2018 PDF No
F-16025R Disqualification Consent Agreement, Russian DMS Russian 07/2023 PDF No
F-16025SO Disqualification Consent Agreement, Somali DMS Somali 07/2023 PDF No
F-16025S Disqualification Consent Agreement, Spanish DMS Spanish 07/2023 PDF No
F-10146 Employer Verification of Earnings DMS English 02/2022 Word No
F-10146A Employer Verification of Earnings: Proof of Employment DMS English 06/2020 Word No
F-16106 FoodShare Affidavit of Lost Income or Costs from a Disaster DMS English 08/2016 Word No
F-02491 FoodShare Buy and Make Food Separately DMS English 05/2019 PDF No

DHS is required under Wis. Stat. § 15.04(1) to establish and maintain a forms management program, appoint a forms officer, and establish and maintain a numbering and filing system for official forms.

Glossary

 
Last revised September 30, 2025